Why do we need SD goals on climate change, environment and health - - PowerPoint PPT Presentation

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Why do we need SD goals on climate change, environment and health

Joint DEVE-ENVI public hearing European Parliament Brussels, June 22 2015

Roberto Bertollini, M.D, MPH Chief Scientist and WHO Representative to the EU World Health Organization

Health – a precious global good

• Higher on the political and social agenda of

countries and internationally

• An important global economic and security

issue

• A major investment sector for human, economic

and social development

• A major economic sector in its own right
• A matter of human rights and social justice

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CMH (2001): the link between health and economic development

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LE and health

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Impact of health on economic growth and development

Labour-force participation

• Absenteeism due to illness: 4.2 days/ worker (EU, 2009)
• Average cost of absenteeism: 2.5% of GDP
• Reduced age of retirement (2.8 years) due to poor health
• Less likelihood to work (66%, males; 42%, females) due to

chronic diseases

• Macroeconomic growth
• 1% increase in life expectancy = 6% growth in GDP (OECD)
• 10% decrease in CVD = 1% per capita income growth (2009)

SDG health goal 3 and its 13 targets

To ensure healthy lives and promote wellbeing for all at all ages To ensure healthy lives and promote wellbeing for all at all ages

3.1 Reduce maternal mortality 3.2 Reduce child and neonatal mortality 3.3 End epidemics of HIV, TB, malaria and NTD, and combat hepatitis, water-borne diseases and other communicable diseases 3.3 End epidemics of HIV, TB, malaria and NTD, and combat hepatitis, water-borne diseases and other communicable diseases 3.4 Reduce mortality due to NCD and improve mental health 3.8 Achieve universal health coverage 3.7 Universal access to sexual and reproductive health-care services 3.6 Reduce mortality due to road traffic injuries 3.5 Strengthen prevention and treatment of substance abuse (narcotics, alcohol) 3.d Enhance capacity for early warning, risk reduction and management of national and global health risks 3.c Increased health financing and health workforce in developing countries 3.a Strengthen implementation FCTC (tobacco) 3.9 Reduce deaths and illness due to pollution and contamination 3.b Access to affordable essential medicines and technologies

Targets for SDG 3 Targets for SDG 3

 Reduce the global maternal mortality ratio to less than 70 per 100,000 live births  End preventable deaths of newborns and under-five children  End the epidemics of AIDS, tuberculosis, malaria, and neglected tropical diseases and combat hepatitis, water-borne diseases, and other CDs  Reduce by one-third pre-mature mortality from non-communicable diseases (NCDs) through prevention and treatment, and promote mental health and wellbeing  Achieve universal health coverage (UHC), including financial risk protection, access to quality essential health care services, and access to safe, effective, quality, and affordable essential medicines and vaccines for all

Targets for SDG 3 Targets for SDG 3

 Reduce the global maternal mortality ratio to less than 70 per 100,000 live births  End preventable deaths of newborns and under-five children  End the epidemics of AIDS, tuberculosis, malaria, and neglected tropical diseases and combat hepatitis, water-borne diseases, and other CDs  Reduce by one-third pre-mature mortality from non-communicable diseases (NCDs) through prevention and treatment, and promote mental health and wellbeing  Achieve universal health coverage (UHC), including financial risk protection, access to quality essential health care services, and access to safe, effective, quality, and affordable essential medicines and vaccines for all

Ten main causes of disease and disabilities

2004 and 2030

(assuming a reduction of 50% of DALYs due to infectious diseases))

• WHO. The global burden of disease: 2004 update.

Geneva World Health Organization, 2008

Total deaths by broad cause group by WHO region, World Bank income group and by sex, 2008.

Source: WHO Global status report on noncommunicable diseases 2010

12,000,000 10,000,000 8,000,000 6,000,000 4,000,000 2,000,000

Why does the burden of NCDs constitute one of the major challenges for development in the 21st century?

• 14.2 million

people between 30-70 die every year from NCDs

• 86% of deaths

between the ages 30-70 occur in developing countries

First High-level Meeting on NCDs (New York, 19-20 September 2011)

United Nations General Assembly

2011

Second high-level Meeting on NCDs (New York, 10-11 July 2014) to take stock of the progress made since 2011

2014

Third High-level Meeting on NCDs to report on progress achieved since 2014

2018

Targets for SDG 3 Targets for SDG 3

 Reduce the global maternal mortality ratio to less than 70 per 100,000 live births  End preventable deaths of newborns and under-five children  End the epidemics of AIDS, tuberculosis, malaria, and neglected tropical diseases and combat hepatitis, water-borne diseases, and other CDs  Reduce by one-third pre-mature mortality from non-communicable diseases (NCDs) through prevention and treatment, and promote mental health and wellbeing  Achieve universal health coverage (UHC), including financial risk protection, access to quality essential health care services, and access to safe, effective, quality, and affordable essential medicines and vaccines for all

Universal Health Coverage (UHC) Universal Health Coverage (UHC)

 2 main UHC objectives – Covering all essential health services – Providing financial protection  Coverage must be at all levels of health systems  Coverage depends on the nature of interventions  Coverage must include all countries  UHC must be equitable  Individual countries must promote and implement UHC

Goal 1: End poverty Target 1.3: Implement social protection systems for all

Goal 2: End hunger, achieve food security and improved nutrition Target 2.2: end malnutrition, achieve targets for reductions child stunting and wasting

Goal 6: Ensure availability and sustainable management of water and sanitation for all Target 6.1: achieve universal and equitable access to safe and affordable drinking water Goal 5: Achieve gender equality and empower all women and girls Target 5.2: end all forms of violence against all women and girls …. Goal 4: Ensure inclusive and equitable education ……….. Target 4.2: ensure access to early childhood development, care and pre- primary education … Goal 16: Promote peaceful and inclusive societies for sustainable development, …….. Target 16.1: reduce all forms of violence and related death rates everywhere

Health

Health is linked to many other SDGs and targets

Other goals and targets e.g. 10 (inequality), 11 (cities), 13 (climate change)

Health in the context of the SDGs Health in the context of the SDGs

Humans [are] the central concern of sustainable development […] living a healthy and productive life in harmony with nature – Principle 1 of the Rio Declaration (1992) Health can be a contributor to sustainable development Health can benefit from sustainable development Health challenges can hamper sustainable development

Health and SDGs Health and SDGs

“Health has an obligatory place on any post-2015 development agenda. Better health is a good way to track the world’s true progress in poverty elimination, inclusive growth, and equity.”

Dr Margaret Chan Director-General of WHO

Address to the Sixty-seventh World Health Assembly, Geneva, Switzerland 19 May 2014

Thank You!